What is the recommended treatment for acute prostatitis?

The recommended treatment for acute prostatitis typically involves the use of fluoroquinolone antibiotics, such as ciprofloxacin and levofloxacin. In particular, these antibiotics are effective against the most common organisms responsible for acute bacterial prostatitis, including Escherichia coli.

Doxycycline and Rocephin are not standard first-line treatments due to the need for broad-spectrum coverage and the specific susceptibility patterns of the organisms often involved in this condition.

Fluoroquinolones can penetrate prostatic tissue effectively, making them highly suitable for treating infections in this area. In addition, their safety profile and oral bioavailability also contribute to their consideration as first-line agents for outpatient management of acute prostatitis.

In summary, the correct treatment involves the use of agents that directly target the pathogens commonly associated with acute prostatitis, which fluoroquinolones do effectively. Doxycycline and Rocephin are not typically recommended for this condition.